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Low Pressure Transurethral Resection of the Prostate Using a Suprapubic Trocar
Author(s) -
YACHIA D.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb04407.x
Subject(s) - transurethral resection of the prostate , ureteroscope , resection , suction , medicine , prostate , surgery , urology , engineering , mechanical engineering , cancer
The TUR syndrome was described by Creevy (1947) and is caused by absorption of irrigating fluid with rising intravesical pressure. To maintain low intravesical pressure and permit a clear view, the “return flow resectoscope” was developed. However, Matouschek and Wimmer (1984) showed that even when a suction pump was used with this resectoscope the return flow channel was unable to drain the returning fluids properly even if a 28 F resectoscope was used. Thus the “transurethral resection controller” was developed in order to monitor the intravesical pressures continuously when using a return flow resectoscope (Perez, unpublished data).